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4 nights on therapy and events are increasing?
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SpeedyD Offline

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Post: #1
4 nights on therapy and events are increasing?
I think I figured out how to post SleepyHead screen shots. So far every night my AHI has gone up. I was told to concentrate on leaks and compliance and those things are going well. I am concerned about the clusters of open airway events. These events are during the time when I am fairly certain I was asleep. I don't think I have the number of events as indicated as a few were when getting settled in or after a bathroom trip.
Any help appreciated?

   
12-06-2015 08:46 PM
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SpeedyD Offline

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Post: #2
RE: 4 nights on therapy and events are increasing?
Wont allow me to post the other screen shot
   
12-06-2015 08:49 PM
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PoolQ Offline

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Post: #3
RE: 4 nights on therapy and events are increasing?
If you are still awake tonight, don't worry about the centrals. You will get more feedback tomorrow and you don't have an alarming number of them. If they are real, they don't change that quickly so you will be about the same after tonight.
12-07-2015 02:08 AM
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SpeedyD Offline

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Post: #4
RE: 4 nights on therapy and events are increasing?
(12-07-2015 02:08 AM)PoolQ Wrote:  If you are still awake tonight, don't worry about the centrals. You will get more feedback tomorrow and you don't have an alarming number of them. If they are real, they don't change that quickly so you will be about the same after tonight.

Did you look at both of the screen shots? I'm a little confused. You are saying the change should happen but will happen more slowly? I'm adapting so if I just need to give it more time I will.
I'm hoping for more responses for reassurance.
12-07-2015 02:30 PM
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DariaVader Offline
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Post: #5
RE: 4 nights on therapy and events are increasing?
This is how I read it (I am not a doc, nor even an expert on CA): You had some CA in your sleep study IIRC, but they were not at a clinically significant value at that time 20 some for the entire test night (?). On CPAP, you are having CA while sleeping to a level that *is* clinically significant, but not horribly so. (AHI from CA is > 5)

Some people have CA in response to pressure, especially if they are already inclined to CA. For a majority of those, after becoming acclimatized to the pressure, this symptom subsides. Sometimes it doesn't, or even begins to worsen - in that case, an ASV may be indicated. IMO, you should give the machine you have several weeks before deciding it will not do; ASV is more complicated, more expensive, and yet another level of assistance to acclimatize to, as if you do not breathe, it will force air into you.

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
12-07-2015 02:39 PM
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DariaVader Offline
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Post: #6
RE: 4 nights on therapy and events are increasing?
for posting images, attachments have a limit (size, number) but you can link to images on sites like imgur with no limit.
http://www.apneaboard.com/forums/misc.php?action=help&hid=22

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
12-07-2015 02:43 PM
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SpeedyD Offline

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Post: #7
RE: 4 nights on therapy and events are increasing?
(12-07-2015 02:39 PM)DariaVader Wrote:  This is how I read it (I am not a doc, nor even an expert on CA): You had some CA in your sleep study IIRC, but they were not at a clinically significant value at that time 20 some for the entire test night (?). On CPAP, you are having CA while sleeping to a level that *is* clinically significant, but not horribly so. (AHI from CA is > 5)

Some people have CA in response to pressure, especially if they are already inclined to CA. For a majority of those, after becoming acclimatized to the pressure, this symptom subsides. Sometimes it doesn't, or even begins to worsen - in that case, an ASV may be indicated. IMO, you should give the machine you have several weeks before deciding it will not do; ASV is more complicated, more expensive, and yet another level of assistance to acclimatize to, as if you do not breathe, it will force air into you.
Great. This is the advice I was hoping to get!
(12-07-2015 02:43 PM)DariaVader Wrote:  for posting images, attachments have a limit (size, number) but you can link to images on sites like imgur with no limit.
http://www.apneaboard.com/forums/misc.php?action=help&hid=22
Gotcha.
12-07-2015 04:47 PM
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sonicboom Offline

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Post: #8
RE: 4 nights on therapy and events are increasing?
I would be curious to see your flow limitation graph. I'm wondering if you are having pressure induced CAs or whether you may have a CA condition which needs another type machine such as an ASV.

Coffee
12-07-2015 08:59 PM
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SpeedyD Offline

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Post: #9
RE: 4 nights on therapy and events are increasing?
(12-07-2015 08:59 PM)sonicboom Wrote:  I would be curious to see your flow limitation graph. I'm wondering if you are having pressure induced CAs or whether you may have a CA condition which needs another type machine such as an ASV.

I have observed one of the lines go really flat right before the CA. Not sure if that is the flow limitation graph or not. I have sleepy head powered down for the night. Will check and post tomorrow.
12-07-2015 09:20 PM
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Sleeprider Offline
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Post: #10
RE: 4 nights on therapy and events are increasing?
When you first came to ApneaBoard and posted your sleep study results I told you that your study showed mixed CA and OA events and that if the CA events continued, or got worse, you would need to speak to a doctor about a different approach to therapy...ASV http://www.apneaboard.com/forums/Thread-...#pid138712

That time has come. Your study showed the likelihood that complex apnea might be a problem. Your machine data confirms that it in fact is a problem above acceptable levels. It might be possible to limit pressure, and play with EPR, but these are compromises to the best treatment for complex apnea, which is ASV.

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12-07-2015 10:30 PM
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